Individual provider Active NPI

Craig W. O'Sullivan, M.D.

  • Family Medicine Physician
  • Westerville, OH
National Provider Identifier
1083755169
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.05.9309.O Issued in OH
Practice address
655 Africa Rd Ste 1200
Westerville, OH 43082-9808
Phone
(380) 203-3217
Fax
(614) 626-0588
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.05.9309.O OH Primary

Addresses

Primary practice location

655 Africa Rd Ste 1200
Westerville, OH 43082-9808

Mailing address

655 Africa Rd Ste 1200
Westerville, OH 43082-9808
Phone (380) 203-3217

Other identifiers 1

IdentifierTypeStateIssuer
0774694MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cosullivan14836@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204000679 OH Practitioner - Family Practice 5193620979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Family Medicine Current Accepting new patients
Ohiohealth Corporation CurrentSince Oct 1, 2007 Accepting new patients
Ohiohealth Corporation CurrentSince Oct 1, 2007 Accepting new patients
Dublin Urgent Care Inc Past Accepting new patients
Napa Valley Family Medical Group, Inc Family Medicine Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

765 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 566-0505

765 N Hamilton Rd
Ste 255
Gahanna, OH 43230
Phone (614) 337-9100

5610 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 476-1112

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

1797 Hill Rd N
Pickerington, OH 43147
Phone (614) 755-6370

4850 E Main St
Whitehall, OH 43213
Phone (614) 523-2266

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72471

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1083755169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 AFRICA RD STE 1200",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "380-203-3217",
            "fax_number": "614-626-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 AFRICA RD STE 1200",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "380-203-3217",
            "fax_number": "614-626-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "CRAIG",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.05.9309.O",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0774694",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cosullivan14836@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "765 N Hamilton Rd",
            "address_2": "Ste 255",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432308703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.